Provider Demographics
NPI:1649155995
Name:PRICE, TAREAH ADRIENNE
Entity type:Individual
Prefix:
First Name:TAREAH
Middle Name:ADRIENNE
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9233 168TH ST APT 17N
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-1447
Mailing Address - Country:US
Mailing Address - Phone:347-654-2645
Mailing Address - Fax:
Practice Address - Street 1:9233 168TH ST APT 17N
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11433-1447
Practice Address - Country:US
Practice Address - Phone:347-654-2645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health